DATE SUBJECTIVE: A Activity Within 2 hours 1. Monitor vital signs “ C intolerance span of ®To provide baseline comparison F T related to interaction with E OBJECTIVE: I decrease the patient, the 2. Determine cause of activity intoler- B > Decrease mobility V energy level patient will be ance R >Drowsy I able to: ® Determining the cause of a disease U >Body malaise/ Weakness T ® can help direct appropriate interventions A >Needs assistance in doing Y > Demonstrate R ADL - activity 3. Teach client the need to pace activity Y >Change in mental-confused/ E tolerance as and rest after meals disoriented X evidenced by ® Rest periods decrease oxygen 14, E walking and consumption R doing ADL 2 C without 4. Observe for pain before activity and, 0 I assistance. if possible treat pain before activity 1 S ® Pain restricts the client from achieving 2 E a maximum activity level and is often exacerbated by movement @ P 1:00 A 5. Encourage to change position from PM T supine to sitting several times daily T and to avoid prolonged bed rest E ® Immobilization and enforced bed rest R in the supine position have considerable adverse effects on nearly every system in the body
6. Perform passive range-of-motion ex-
ercise if client is unable to tolerate EVA LUA TIO N
GOAL MET:
>Pati ent is now able to walk and do ADL witho ut the assist ance of signifi cant other s.